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Date: March 19,2026
Understanding the Biofeedback CPT Codes
In this article, I will provide answers to the following questions regarding the biofeedback CPT codes:
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Thanks Rick, it’s frustrating that Novitas LCD requires Direct supervision of a Physician for us to perform these services. Have you heard anything of this being eliminated?
Hi Rick,
can speech therapists use 90901 if they use EMG with swallow treatment 92526? muddassir@tahcares.com
In my opinion, EMG would not be considered biofeedback.
Would it be appropriate to utilize CPT E1399 if you’re trying to obtain reimbursement for the internal probes used with biofeedback? If so, then do you need a DME license in order to distribute this as DME?
Are there any DME codes (i.e. E1399) therapists can bill for items such as the intravaginal probes? Is a DMEPOS license needed if you bill for the probes?
Are probes (internal or external) a part of the practice expense for the biofeedback codes?
Yes
If NMES (i.e. 10″ on, 10″ off) is applied with biofeedback, can you bill for unattended electrical stimulation concurrently with biofeedback?
CMS is saying no:
For example, a therapist may provide a combination of neuromuscular electrical stimulation (NMES), biofeedback, and therapeutic exercises during the same 15 minutes to treat a patient with urinary incontinence. In these instances, the therapeutic exercises and the NMES are considered to be a component of the biofeedback training and should not be billed separately. Providers should only bill the appropriate biofeedback training code for these combined services
If CMS has answered your question, then you would want to follow-up with them. Not sure what you are asking of me.
I’m checking to see if this is part of the normal practice expense for the CPT code or a unique application of it by CMS.
Other articles on your site reference unattended e-stim being able to be billed concurrently with timed codes but that doesn’t seem to be the case with timed biofeedback codes.